<html xmlns:o="urn:schemas-microsoft-com:office:office"
xmlns:w="urn:schemas-microsoft-com:office:word"
xmlns="http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=Content-Type content="text/html; charset=windows-1252">
<meta name=ProgId content=Word.Document>
<meta name=Generator content="Microsoft Word 11">
<meta name=Originator content="Microsoft Word 11">
<link rel=File-List href="BluntedAffect_files/filelist.xml">
<title>BDSS #10 Blunted Affect</title>
<!--[if gte mso 9]><xml>
 <o:DocumentProperties>
  <o:Author>Employee</o:Author>
  <o:LastAuthor>WhaiteR</o:LastAuthor>
  <o:Revision>3</o:Revision>
  <o:TotalTime>2</o:TotalTime>
  <o:Created>2004-04-19T15:55:00Z</o:Created>
  <o:LastSaved>2004-04-19T15:56:00Z</o:LastSaved>
  <o:Pages>1</o:Pages>
  <o:Words>244</o:Words>
  <o:Characters>1392</o:Characters>
  <o:Company>HFRMHMRC</o:Company>
  <o:Lines>11</o:Lines>
  <o:Paragraphs>3</o:Paragraphs>
  <o:CharactersWithSpaces>1633</o:CharactersWithSpaces>
  <o:Version>11.5703</o:Version>
 </o:DocumentProperties>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:SpellingState>Clean</w:SpellingState>
  <w:GrammarState>Clean</w:GrammarState>
  <w:PunctuationKerning/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:BreakWrappedTables/>
   <w:SnapToGridInCell/>
   <w:WrapTextWithPunct/>
   <w:UseAsianBreakRules/>
   <w:DontGrowAutofit/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState="false" LatentStyleCount="156">
 </w:LatentStyles>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
	{font-family:Arial-BoldMT;
	panose-1:0 0 0 0 0 0 0 0 0 0;
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-format:other;
	mso-font-pitch:auto;
	mso-font-signature:3 0 0 0 1 0;}
@font-face
	{font-family:ArialMT;
	panose-1:0 0 0 0 0 0 0 0 0 0;
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-format:other;
	mso-font-pitch:auto;
	mso-font-signature:3 0 0 0 1 0;}
@font-face
	{font-family:Arial-ItalicMT;
	panose-1:0 0 0 0 0 0 0 0 0 0;
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-format:other;
	mso-font-pitch:auto;
	mso-font-signature:3 0 0 0 1 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
	{mso-style-parent:"";
	margin:0in;
	margin-bottom:.0001pt;
	mso-pagination:widow-orphan;
	font-size:12.0pt;
	font-family:"Times New Roman";
	mso-fareast-font-family:"Times New Roman";}
span.SpellE
	{mso-style-name:"";
	mso-spl-e:yes;}
span.GramE
	{mso-style-name:"";
	mso-gram-e:yes;}
@page Section1
	{size:8.5in 11.0in;
	margin:1.0in 1.25in 1.0in 1.25in;
	mso-header-margin:.5in;
	mso-footer-margin:.5in;
	mso-paper-source:0;}
div.Section1
	{page:Section1;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */
 table.MsoNormalTable
	{mso-style-name:"Table Normal";
	mso-tstyle-rowband-size:0;
	mso-tstyle-colband-size:0;
	mso-style-noshow:yes;
	mso-style-parent:"";
	mso-padding-alt:0in 5.4pt 0in 5.4pt;
	mso-para-margin:0in;
	mso-para-margin-bottom:.0001pt;
	mso-pagination:widow-orphan;
	font-size:10.0pt;
	font-family:"Times New Roman";
	mso-ansi-language:#0400;
	mso-fareast-language:#0400;
	mso-bidi-language:#0400;}
</style>
<![endif]-->
</head>

<body lang=EN-US style='tab-interval:.5in'>

<div class=Section1>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
class=GramE><b><span style='font-size:11.0pt;font-family:Arial-BoldMT;
mso-bidi-font-family:Arial-BoldMT'>BLUNTED AFFECT</span></b><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>:
Restricted range in emotional expressiveness of face, voice, and gestures.</span></span><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'> <span
class=GramE>Marked indifference or flatness even when discussing distressing
topics.</span> In the case of euphoric or <span class=SpellE>dysphoric</span>
patients, rate Blunted Affect if a flat quality is also clearly present.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Use
the following probes at end of interview to assess emotional <span
class=SpellE>responsivity</span>:<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'><o:p>&nbsp;</o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><i><span
style='font-size:11.0pt;font-family:Arial-ItalicMT;mso-bidi-font-family:Arial-ItalicMT'>Have
you heard any good jokes lately? Would you like to hear a joke?<o:p></o:p></span></i></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>NA
<span class=GramE>Not</span> assessed<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>1
Not Present<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>2
Very Mild<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Emotional
range is slightly subdued or reserved but displays appropriate facial expressions
and tone of voice that are within normal limits.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>3
Mild<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Emotional
range overall is diminished, subdued, or reserved, without many spontaneous and
appropriate emotional responses. Voice tone is slightly monotonous.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>4
Moderate<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Emotional
range is noticeably diminished, patient doesn't show emotion, smile, or react
to distressing topics except infrequently. Voice tone is monotonous or there is
noticeable decrease in spontaneous movements. Displays of emotion or gestures
are usually followed by a return to flattened affect.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>5
Moderately Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>Emotional
range very diminished, patient doesn't show emotion, smile or react to distressing
topics except minimally, few gestures, <span class=GramE>facial</span>
expression does not change very often. Voice tone is monotonous much of the
time.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>6
Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
class=GramE><span style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:
ArialMT'>Very little emotional range or expression.</span></span><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>
Mechanical in speech and gestures most of the time. <span class=GramE>Unchanging
facial expression.</span> Voice tone is monotonous most of the time.<o:p></o:p></span></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p>&nbsp;</o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><b><span
style='font-size:11.0pt;font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'>7
Extremely Severe<o:p></o:p></span></b></p>

<p class=MsoNormal style='mso-layout-grid-align:none;text-autospace:none'><span
class=GramE><span style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:
ArialMT'>Virtually no emotional range or expressiveness, stiff movements.</span></span><span
style='font-size:11.0pt;font-family:ArialMT;mso-bidi-font-family:ArialMT'>
Voice tone is monotonous all of the time.</span><span style='font-size:10.0pt;
font-family:Arial-BoldMT;mso-bidi-font-family:Arial-BoldMT'><o:p></o:p></span></p>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

</div>

</body>

</html>
